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Individual

KRISTOPHER J. KIMBALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1934 ALCOA HWY, STE 478, KNOXVILLE, TN 37920-1524
(865) 305-5622
(865) 305-4580
Mailing address
PO BOX 440459, NASHVILLE, TN 37244-0459
(865) 670-6199
(865) 670-6188

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
45968
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518855
TN
Enumeration date
05/18/2007
Last updated
01/11/2011
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